clerkship handbook - University of Hawaii – Department of Medicine

EXPOSURE TO BLOOD/BODY FLUIDS PROTOCOL
1. IMMEDIATELY following the exposure:
a. Flush the exposed skin or mucous membrane with water or saline.
If exposure to the eyes has occurred, use wash station or nearest sink to flush eyes with water for at
least 5 minutes.
b. Wash any needle stick, puncture, cut or abrasion with soap and water.
2. Initiate the host agency protocol for hazardous exposure to blood/body fluids by following the instructions outlined in
the table below.
3. If the exposure is in a non-hospital setting (for example, ambulatory site not associated with a hospital, in a JABSOM
lab, class, or other non-hospital-based exposure), you or your preceptor/supervisor can call Queens ED (547-4311)
to review current protocol for immediate needs in such a circumstance, and begin the process, (AFTER #1). You
may go to an Emergency Department, or during open hours, contact the University Health Services (Manoa
Campus) 956-8965, and ask for immediate attention.
FACILITY CONTACT or GO TO PHONE
Castle Medical Center Report incident to supervisor. Obtain care from
Employee Health Coordinator or hospital supervisor who
will assist in filing incident report. Contact JABSOM
OSA to report incident.
263-5159 or
hospital supervisor
263-5329
(5 pm-8 am)
HOME Clinic
Notify attending physician and complete incident report. 221-0685
Kaiser Permanente Medical
Center
Kapiolani Medical Center
Kuakini Medical Center
Pali Momi Medical Center
Call Dr. Jill Omori to report exposure.
Report incident within 2 hours of exposure. Call
operator in house “0” and ask for infection control
personnel on duty.
Report to Employee Health. Go to Emergency Dept, if
EH closed, also call on-call Employee Health
Coordinator, 983-6000).
Occupational Health Services.
When closed, go to ED, and also notify Nursing
Supervisor (through Operator, dial “O”).
Employee Health during regular work hours or
Emergency Department when exposure occurs after
hours. Notify supervisor. Report incident Work Injury
Line.
432-0000
983-8525
547-9531
535-7200
The Queen’s Medical Center Employee Health/PEP Team. 547-4004
Straub Clinic and Hospital Employee Health during business hours, go directly to 522-3481
ED after business hours.
Tripler Army Medical Center Let care team know of exposure. Report to the ER.
Report exposure to, or go to, Occupational Health the
next business day.
433-6235
VA Clinic
Contact EHU during business hours. Go to TAMC ER
after hours.
433-0091
Wahiawa General Hospital
Go to ER; also notify Nursing Supervisor (through
operator) of exposure.
621-4230
You may also seek care and information from University Health Services (956-8965), your personal physician, or any emergency
department, but seek immediate evaluation and counseling. All follow-up care after immediate evaluation services are the
responsibility of the student
4. Report exposure to;
a. Your supervising faculty member and course/clerkship director
b. Medical School Office of Student Affairs @ 692-1000;
c. For URGENT after hours needs, call 692-0912, ask for Dr Smerz or Administrator on-call
5. Students should be knowledgeable about their health insurance coverage, and should know what their plan will
cover related to occupational exposures. Remind anyone billing for follow-up that it is NOT an Occupational
Exposure, but medical follow-up, or the insurer may not want to pay for services.
JABSOM’s Affiliation Agreement with Health Care Facilities (HCF) state:
“Environmental exposure. In the event a medical student is exposed to an infectious, environmental, or occupational hazard at
the HCF, the HCF shall be responsible for providing immediate evaluation and counseling as with employees of the HCF. Followup
after the initial evaluation and counseling will not be the responsibility of the HCF, and will proceed according to University
student health policies.”
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